Organization
MIDWEST ONCOLOGY GROUP PLLC
Active
Parent organization
MIDWEST ONCOLOGY GROUP PLLC
Other names
Optim Oncology Moore
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST ONCOLOGY GROUP PLLC
Authorized official
STEPHEN A HAMILTON MD (DIRECTOR OF MEDICAL ONCOLOGY)
(405) 737-8455
Entity
Organization
Contact information
Practice address
604 S CLASSEN AVE, SUITE H, MOORE, OK 73160-5401
(405) 799-5366
(405) 799-5930
Mailing address
230 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4321
(405) 737-8455
(405) 739-8707
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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